Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.93 / $46.93 / $109.73	Facility	26	$46.93	$46.93	$109.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $332.37 / $409.21	Professional		$164.32	$332.37	$409.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $64.59 / $146.03	Professional	26	$46.93	$64.59	$146.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $117.38 / $272.87 / $334.93	Professional	TC	$117.38	$272.87	$334.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $126.96 / $279.14	Professional		$50.34	$126.96	$279.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.52 / $402.86 / $595.53	Professional		$184.52	$402.86	$595.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.00 / $81.70 / $115.76	Professional	26	$50.00	$81.70	$115.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.04 / $324.55 / $479.77	Professional	TC	$128.04	$324.55	$479.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.45 / $244.36	Professional		$32.34	$68.45	$244.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.54 / $437.35 / $550.76	Professional		$241.54	$437.35	$550.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.15 / $84.97 / $115.76	Professional	26	$53.15	$84.97	$115.76
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $324.55 / $498.27	Professional	TC	$145.63	$324.55	$498.27
United Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $311.91 / $536.76	Professional		$192.95	$311.91	$536.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.08 / $59.78 / $139.19	Professional	26	$49.08	$59.78	$139.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.87 / $267.94 / $416.99	Professional	TC	$143.87	$267.94	$416.99